Kumara Vijaya
Department of Anesthesia, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Ann Card Anaesth. 2025 Apr 1;28(2):176-178. doi: 10.4103/aca.aca_191_24. Epub 2025 Apr 16.
Lung isolation is essential for optimal surgical exposure and prevents contamination of normal lung. It is challenging in pediatric patients due to the anatomical and physiological differences. The most common methods of achieving lung isolation include the use of double-lumen endotracheal tubes (DLTs) or bronchial blockers (BBs). However, in pediatric patients, the size of the airways often restricts the use of DLTs, and in some cases, specific BBs may not be available or feasible due to the anatomy. Here, we report a case of right lower lobectomy in a two-and-half-year-old child using a pulmonary artery (PA) catheter to isolate the lung.
肺隔离对于实现最佳手术暴露至关重要，并可防止正常肺受到污染。由于解剖学和生理学差异，在儿科患者中进行肺隔离具有挑战性。实现肺隔离的最常用方法包括使用双腔气管导管（DLT）或支气管封堵器（BB）。然而，在儿科患者中，气道大小常常限制了DLT的使用，并且在某些情况下，由于解剖结构的原因，特定的BB可能无法获得或不可行。在此，我们报告一例使用肺动脉（PA）导管对一名两岁半儿童进行右下肺叶切除术以隔离肺的病例。
